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Management of isolated tubal torsion in a premenarchal adolescent female with prior oophoropexy: a case report and review of the literature.

Abstract：

BACKGROUND:Isolated tubal torsion in a premenarchal adolescent girl is a rare phenomenon. Preoperative diagnosis remains a challenge. CASE:A 14-year-old premenarchal girl, with a history of bilateral ovarian torsion treated by laparoscopic detorsion and oophoropexy two years prior, presented to the emergency room with lower abdominal pain accompanied by nausea and vomiting. Pelvic ultrasound demonstrated an enlarged left adnexa. Diagnostic laparoscopy revealed an isolated left tubal torsion. Surgical evidence of previous bilateral plication of the utero-ovarian ligaments was confirmed. Untwisting of the left fallopian tube immediately restored the vascular supply. Subsequently, her symptoms resolved. SUMMARY AND CONCLUSION:Clinicians should consider torsion of the fallopian tube in the differential diagnosis of lower abdominal pain in all female patients. Prompt laparoscopic intervention is essential. Oophoropexy, while usually efficacious, may not prevent recurrence.

journal_name

J Pediatr Adolesc Gynecol

journal_title

Journal of pediatric and adolescent gynecology

authors

Blitz MJ,Appelbaum H

doi

10.1016/j.jpag.2013.02.002

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

e95-7

issue

4

eissn

1083-3188

issn

1873-4332

pii

S1083-3188(13)00098-3

journal_volume

26

pub_type

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